Healthcare Provider Details

I. General information

NPI: 1346438686
Provider Name (Legal Business Name): KRISTEN ELIZABETH MALONEY RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3091 WILLIAM ST
CHEEKTOWAGA NY
14227-1919
US

IV. Provider business mailing address

6664 WILLOW RIDGE DR
HAMBURG NY
14075-6543
US

V. Phone/Fax

Practice location:
  • Phone: 716-822-3098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number011298
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: